NextDimensionAI ships safer, faster healthcare voice agents with Hamming
- Location
- United States
- Industry
- Healthcare voice AI
- Stage
- Private
- Website
- nextdimensionai.com
- Use cases
- Healthcare voice agent testing
- EHR system integration validation
- HIPAA compliance testing
- Latency benchmarking across carriers
“For us, unit tests are Hamming tests. Every time we talk about a new agent, everyone already knows: step two is Hamming.”
Co-founder, NextDimensionAI
About NextDimensionAI
The challenge: manual testing could not keep up with complex clinical workflows
The impact
- Production reliability achieved
- 99%
- Latency reduction through optimized configurations
- 40%
- Concurrent test calls supported
- 200+
- Automated test calls a day, up from about 20 manual calls
- 500+
Before and after Hamming
| Metric | Before Hamming | With Hamming |
|---|---|---|
| Daily test calls | Before HammingAbout 20 manual calls | With Hamming500+ automated calls |
| Production reliability | Before HammingVariable | With Hamming99% |
| Latency optimization | Before HammingNo benchmarking capability | With Hamming40% reduction achieved |
| Concurrent test capacity | Before Hamming1 call at a time | With Hamming200+ concurrent calls |
| Qualitative testing (pauses, accents) | Before HammingInconsistent, hard to reproduce | With HammingSystematic, repeatable |
The solution: automated, scenario-driven testing at scale
- 01
Scenarios that mirror real patient behavior
NextDimensionAI uses its proprietary simulation building system to create scenario-based test cases in Hamming. Hundreds of scenarios reflect real patient behavior, from straightforward appointment requests to incomplete information, pauses, repeated questions, and unexpected call patterns.
Coverage is not limited to clean, idealized flows. The team deliberately builds cases with long pauses, interrupted speech, and noisy environments, qualitative factors that manual calling could not capture consistently.
Engineers tag each test and run large batches in parallel. Instead of making calls one by one, they run an entire suite at once and immediately see:
- Which scenarios pass or fail
- How prompt changes affect LLM behavior
- How the agent handles variations in noise, pauses, or accents
Hamming runs are now part of the team's default engineering workflow.
- 02
Controlled load testing across carriers and configurations
NextDimensionAI also uses Hamming to benchmark configuration changes. Controlled tests measure the latency effect of:
- Different compute regions
- PSTN providers
- LLM temperature and response settings
- TTFW adjustments
Hamming runs hundreds of synthetic calls under controlled conditions, so the team can measure the impact of each change precisely. These tests found a configuration that reduced latency by 40%.
For example, the team measured how small fluctuations in TTFW affected patient perception, and how different PSTN carriers performed under load. The results also serve as historical reference points: when new models, telephony providers, or infrastructure environments become available, the team can quickly judge whether switching is worthwhile.
- 03
Preventing regressions after launch
Internal QA tools and supervisor agents monitor production calls continuously. The QA loop combines automated evaluation with human-in-the-loop (HITL) review: supervisor agents label calls on intent accuracy, conversation quality, and completion outcomes.
When a call is flagged, a forward deployed AI engineer reviews the agent's performance, finds the root cause, and turns it into a reproducible Hamming test. Every improvement then goes through two steps:
- Run the new post-production test case
- Re-run all original pre-production tests
This keeps incremental improvements from breaking existing functionality, and the whole organization learns from every real failure. The result is a library of real-world cases: patients with strong accents, callers who give too much or too little information, prescription issues, and behavior outside any scripted flow. Each one is a test the agent must pass before any future release.
- 04
HIPAA compliance
Because NextDimensionAI works in healthcare, HIPAA requirements are built into its test cases. The team writes scenarios that check explicitly whether an agent complies with HIPAA, and tests conversational edge cases such as callers trying to bypass verification by volunteering extra details, or asking the agent to read back medical history.
“Hamming's responsiveness and support feel like an extension of our engineering team.”
Co-founder, NextDimensionAI
Why NextDimensionAI chose Hamming
The results
What changed
- 01
Faster development cycles
With Hamming in its workflow, NextDimensionAI moves quickly from design to production. Design, development, and testing share one consistent QA process, so the team can check behavior and ship updates with confidence. Its voice agents now reach 99% reliability on production calls.
- 02
Better customer onboarding
Hamming is now part of NextDimensionAI's onboarding. The team runs live simulations of 50 simultaneous calls, giving customers a real-time view of how the agent performs inside their own AI platform.
- 03
A QA system that scales with the roadmap
As NextDimensionAI expands its product, Hamming lets the team test at scale without slowing development. The growing library of scenarios, benchmarks, and real-world cases means each deployment builds on the reliability of the last.
“We go to our customers knowing what will work and what won't, not hoping. That's a big difference in how fast we can move.”
Co-founder, NextDimensionAI
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